William E. Clack M.D. in Elmira - Specialist
William E. Clack M.D. - NPI 1427217090
William E. Clack M.D. is a Specialist in Elmira, New York. William E. Clack M.D. practices all healthcare services and medical treatments related to Specialist. The NPI Number for William E. Clack M.D. is 1427217090. The last update date is 2008-06-08.
William E. Clack M.D.'s current location address is 447 E Water St, Elmira, New York. You can contact this provider via phone number 6077333631 and fax number 6077335432. The mailing address for William E. Clack M.D. is 447 E Water St, Elmira, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | William E. Clack M.D. |
|---|---|
| Address | 447 E Water St, Elmira, New York |
| Phone Number | 6077333631 |
| Fax Number | 6077335432 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Clack E. William |
| Credentials | M.D. |
| Telephone Number | 6077333631 |
NPI Number Detail
| NPI Number | 1427217090 |
|---|---|
| Provider Enumeration Date | 2008-06-08 |
| Last Updated Date | 2008-06-08 |
Provider Mailing Address Detail
| Address | 447 E Water St |
|---|---|
| City | Elmira |
| State | New York (NY) |
| Post Code | 149013410 |
| Phone Number | 6077333631 |
| Fax Number | 6077335432 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 118121 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 359366 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to William E. Clack M.D. by the Centers for Medicare & Medicaid Services?
The William E. Clack M.D. has been issued the NPI (National Provider Identifier) 1427217090, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of William E. Clack M.D.?
The William E. Clack M.D. is situated at 447 E Water St, in the city of Elmira, state of NY, with the zip code 149013410.
What is William E. Clack M.D.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The William E. Clack M.D.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427217090 to William E. Clack M.D.?
The Centers for Medicare & Medicaid Services originally issued the 1427217090 to William E. Clack M.D. on 2008-06-08.
When was the information regarding William E. Clack M.D. most recently updated?
The details pertaining to the William E. Clack M.D., including its address, specialty, and other relevant information, were last refreshed on 2008-06-08.